Provider Demographics
NPI:1205011996
Name:RICHINA, CAROL ANN (NP-C)
Entity Type:Individual
Prefix:MRS
First Name:CAROL
Middle Name:ANN
Last Name:RICHINA
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6754 E CHURCH AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93727-6704
Mailing Address - Country:US
Mailing Address - Phone:559-453-0693
Mailing Address - Fax:
Practice Address - Street 1:7033 N FRESNO ST STE 301
Practice Address - Street 2:7033 N. FRESNO SUITE301
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-2979
Practice Address - Country:US
Practice Address - Phone:559-438-8181
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-01
Last Update Date:2019-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA282806163WC1500X
CA17613363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WC1500XNursing Service ProvidersRegistered NurseCommunity Health